Parent Volunteer Approval Form

Signee Information

You understand that the services provided at the Facility by Sensory Innovations do not include medical advice of any kind.

You hereby acknowledge and agree that I have carefully read and fully understand the terms of this Agreement, and that I have been afforded an opportunity to request further explanation of the terms of this Agreement.

I hereby grant Breslin OT Services and Sensory Innovations permission for a volunteer to observe and interact with me and my child/children. I understand that any information provided by this volunteer will not be attributed to or reflect upon the company.

This approval can be revoked at any time for any reason by providing written notice.

Sign Here

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.